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IPAB Has to Go, Providers and Advocates Urge

Cheryl Clark, for HealthLeaders Media, April 26, 2013

According to the letter, "Requiring IPAB to achieve scoreable savings in a one-time period is not conducive to generating savings through long-term delivery system reforms."

The mechanism for cuts is a concern, the letter explained. "The Congressional Budget Office has in fact stated that the [IPAB] Board is likely to focus its recommendations on changes to payment rates or methodologies for services in the fee-for service sector by non-exempt providers. Again, this will have a severe, negative impact on Medicare beneficiaries."

The letter added that having an independent body, specifically made up of individuals who are not healthcare providers "sets a dangerous precedent for overriding the normal legislative process. Congress is a representative body that has a duty to legislate on issues of public policy.

"Abdicating this responsibility to an unelected and unaccountable board removes our elected officials from the decision-making process for a program that millions of our nation's seniors and disabled individuals rely upon, endangering the important dialogue that takes place between elected officials and their constituents."

Lastly, the letter points out that, "If the Board is never made operative, a provision in PPACA transfers IPAB's power to the Secretary of Health and Human Services, concentrating the enormous power in the hands of one individual."


Cheryl Clark is senior quality editor and California correspondent for HealthLeaders Media. She is a member of the Association of Health Care Journalists.
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2 comments on "IPAB Has to Go, Providers and Advocates Urge"


Robert K (4/28/2013 at 1:10 PM)
As long as the healthcare consortium plays by the rules, the panel is never even put in play. It is only the loss of enormous profits that motivates their dispute. If the 'for profit' side of healthcare cant live with solid profits, but must have huge profits, the patient loses every time.

DWM (4/26/2013 at 10:09 AM)
What a funny bunch we are...we want less government spending, yet we don't want mechanisms in place that actually lower spending. The IPAB only exists because our elected officials and industry "experts" have failed for years to act to control spending growth. It's sad to see that there's still a belief in "magic" that will lower costs over the long term while not lowering costs in the short term.